Massachusetts culture change coalition
Download
1 / 21

Massachusetts Culture Change Coalition - PowerPoint PPT Presentation


  • 367 Views
  • Updated On :

Massachusetts Culture Change Coalition. Dining Culture. Culture Change. The only thing that should change when someone moves into a nursing home is their address. Culture Change. It is a journey, not a destination Residents, Family & Staff Goals OBRA supports Culture Change

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Massachusetts Culture Change Coalition' - gusty


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript

Culture change l.jpg
Culture Change

The only thing that should change when someone moves into a nursing home is their address


Culture change3 l.jpg
Culture Change

  • It is a journey, not a destination

    • Residents, Family & Staff

  • Goals

  • OBRA supports Culture Change

    • 483.15 - Quality of Life


Culture change4 l.jpg
Culture Change

By identifying and implementing the Resident’s wants and needs you will meet OBRA Regulations

“each facility provide care and services to attain or maintain the highest practicable physical, mental, and psychosocial well being of each resident…”


Culture change massachusetts l.jpg
Culture Change - Massachusetts

  • Conferences in Massachusetts –

    2006 Consistent Assignment

    2010 Dining Experience

    • Benefits to Residents

    • Benefits to Staff and Facility

    • DPH


Culture change consistent assignment l.jpg
Culture Change – Consistent Assignment

  • Considerations:

    • Waking and sleeping

    • Meals

    • Food Preference

    • Daily Routine

    • Bathing frequency, time & method

    • ADLs

    • Activities


Culture change defining dining it s about me l.jpg
Culture Change Defining Dining …It’s About Me

Pioneer Network.org

Creating Home in the Nursing Home II -- A National Symposium on Culture Change and the Food and Dining Requirements 2010


Culture change nutrition l.jpg
Culture Change - Nutrition

CMS Interpretation:

  • Culture Change Input and Questions

  • Survey and Certification Group:

    S&C-07-07 S&C -08-09 and S&C-09-39

    • Time between meals

    • Food brought in from other sources


Culture change nutrition9 l.jpg
Culture Change - Nutrition

  • S&C-07-07

  • F-Tag 368 and 370

    • These are regulatory questions sent from culture change groups and the CMS answers

    • Questions 1, 2, 11 & 15 relate to food


Culture change nutrition10 l.jpg
Culture Change - Nutrition

  • S&C -08-09 and S&C-09-39

    • 09-39 clarifies 08-09

  • F-Tag 371 and 242

    • Food Procurement and Self Determination and Participation


Culture change nutrition11 l.jpg
Culture Change - Nutrition

  • DPH & regulations

  • OBRA 1987

    • Survey process

    • Participates in MCCC and conferences

    • May require waiver of some regulations

    • Contact DPH with questions

    • Refer to references


Culture change nutrition12 l.jpg
Culture Change - Nutrition

Dietitians - Nutrition Educators

  • Residents & families:

    • Assessing and care planning

    • Increase nutrition education opportunities

      • Identify risks vs. benefits of choices

    • Have the right to make bad decisions

      • dignity/rights


Culture change nutrition13 l.jpg
Culture Change - Nutrition

  • Dietitians – as Nutrition Educators

    • Liberalize diet

      • Ask preferences

      • Monitor for changes

      • Re-evaluate with resident

      • Document


Culture change nutrition14 l.jpg
Culture Change - Nutrition

Dietitians - Nutrition Educators

  • Staff

    • Clinical – DON, CNAs, Therapies

    • Dietary/Nutrition

    • Increase communication among all areas


Culture change nutrition15 l.jpg
Culture Change - Nutrition

Goal is to reduce incidence of

  • Weight loss

  • Pressure sores

  • Supplement use

  • Dehydration


Culture change dining experience l.jpg
Culture Change - Dining Experience

How to achieve goal :

  • Choice in foods

  • Choice with meal times

  • Consistent assignment


Culture change dining experience17 l.jpg
Culture Change- Dining Experience

  • Resident Rights’ Week- October 2010

    • Massachusetts programs’ activities

      • Cooking contests

      • Luncheons

      • DPH speakers

      • Dining Scarves

      • Arc-ct.org – Dining with friends video


Culture change dining experience18 l.jpg
Culture Change – Dining Experience

Mass facilities that are a work in progress:

  • St Camillus in Whitinsville- Bill Graves

  • Loomis House – Lori Todd

  • Holy Trinity in Worcester – Diane Buckley


Culture change dining experience19 l.jpg
Culture Change- Dining Experience

National resources for Culture Change:

  • Eden Alternative

  • Pioneer Network

  • Consumer Voice (NCCNHR)

  • Picker Institute

  • Advancing Excellence Campaign


Culture change dining experience20 l.jpg
Culture Change – Dining Experience

Culture Change in Massachusetts

Mass Advocates for Nursing Home Reform- MANHR: 800-988-4450

Mass Senior Care: 617-558-0202

Mass Aging Services: 617-244-2999

Long Term Care Ombudsman: 617-727-7750


Culture change dining experience21 l.jpg
Culture Change – Dining Experience

Welcome to the table. Bon appétit

Elizabeth M. Bradley, MEd, RD/LDN

Long Term Care Ombudsman Program